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LACTOSE INTOLERANCELactose mal absorption is one of the common disorders found in children. A study showed that

Indonesia is one of the Asian country in which 6% - 10% of its adults have this disorder.

What Is Lactose Intolerance?Lactose intolerance is the inability to digest and absorblactose (the sugar in milk) that results in gastrointestinal

symptoms when milk or food products containing milk

are consumed. Lactose is a large sugar molecule that is

made up of two smaller sugars, glucose and galactose.

The glucose and galactose are then absorbed by the cells

lining the small intestine. The enzyme that splits lactose

into glucose and galactose is called lactase, and it is

located on the surface of the cells lining the small

intestine.

What Causes Lactose Intolerance?Unfunction of lactases roleLactose intolerance can be caused by reduced or absent

activity of lactase that prevents the splitting of lactose

(lactase deficiency).

Person habits who is not consume milk and its productfor a long period and its carrying until adultLactase deficiency develops over time and begins after

about age 2 when the body begins to produce less

lactase. Most children who have lactase deficiency do

not experience symptoms of lactose intolerance until

adolescence or adulthood.

Genetics FactorResearchers have identified a possible

genetic link to primary lactase

deficiency. Some people inherit a gene

from their parents that makes it likely they will

primary lactase deficiency. This discovery may be

useful in developing future genetic tests to identifypeople at risk for lactose intolerance.

Intestine DiseaseLactase deficiency results from injury to the small

intestine that occurs with severe diarrheal illness,

disease, Crohn's disease, or chemotherapy. This type

lactase deficiency can occur at any age but is more

common in infancy.

Case HistoriesSusan Age 18Susan has the strangest case oflactose intolerance yet. If she eatseven a spoonful of low-fat pudding herstomach begins to gurgle and she will

have some flatulence.With one cookie she will has gas, bloating, cramping,and nausea. If she has even a small amount ofcheese or something else dairy that's more than thesize of a cookie she will be on the ground, in the fetalposition, clutching her stomach, with gas, nausea,sweating, tremendous pain, and sometimes vomiting.Usually her symptoms occur within 15-20 minutes ofeating something with dairy in it, and can last for 8 or

more hours. After she controlled her condition,nutritionist recommended her to consume foodcontaining milk and dairy product slowly. Thereforeit wont cause

gastrointestinal disorder.

Lactose Free Diet - Foods to

Avoid

The following foods contain the

same amount of lactose as half

a cup of milk: Condensed milk (2

tablespoons)

Evaporated milk (1/4cup)

Processed cheese (85 g) Sour cream (1/2 cup)Yogurt (1/2 cup) Ice Cream (1/2 cup)

These foods contain small amounts of

lactose, and can be tolerated by most

people: Butter Cottage cheese Cream cheese Cheese (cheddar, Swiss, etc.)

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What Are The Symptoms Of Lactose Intolerance?The common primary symptoms of lactose

intolerance are gastrointestinal include:

Abdominal pain, Diarrhea, and Flatulence (passing gas).

Less common symptoms of lactose intoleranceinclude:

Abdominal bloating, Abdominal distention, and Nausea.

1. Drink lactose-free milk productsReplace cow's milk with a lactose-free

product.

2. Research the lactose content in yourfavorite dairy products

If you're going to have a dairy

product, limit yourself to foods

with less than 12 g of lactose

per serving as a starting point tohelp control symptoms.

3. Use supplements with active enzymesto relieve discomfortResearchers found that many of the

supplements on the market were

useful in reducing discomfort while

others weren't as effective.

4. Be aware of lactose in surprising foodsWhile it's well-known that milk

products like yogurt and cheese

contain lactose, there are many

other foods that contain lactose. Inaddition to baked goods, pastries,

and waffle and bread mixes.

Lactose can also be found in potato chips, soups,

processed meats, candies, and veggies like rhubarb

and spinach

Unfortunately, these symptoms

be caused by several

conditions or diseases, so the

presence of these symptoms is not

very good at predicting whether a

person has

lactase deficiency or lactose intolerance.

How Is Lactose Intolerance Treated?The most obvious means of treating lactoseintolerance is by reducing the amount of lactosethe diet. Fortunately, most people who are lactose

intolerant can tolerate small or even moderate

amounts of lactose. It often takes only elimination

of the major milk-containing products to obtain

sufficient relief from their symptoms.

Thus, it may beto eliminate only milk,

yogurt, cottage cheese,

and ice cream. We may

changes milk and dairy

product with soya milkand another food that

be made from soya milk

like ice cream.

LACTOSE INTOLERANCETop Tips for

Lactose Intolerance

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Fifi Amaliani Zakiyah (1203000028) Masqur Andriani (1203000033)

Anggi Wiji Lestari (1203000032) Lya Vera Nika (1203000055)

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